How To Control Blood Sugar Levels In The Morning
Treatment options will vary depending on the data the CGM or individual glucose checks provide. By tracking when the highs and lows occur, a doctor will be able to recommend suitable strategies.
If the data shows that a person has high blood sugar at bedtime, then it is likely that food and medication are responsible. If a person has hyperglycemia before they sleep, it can persist until morning. Either a large meal close to bedtime or using too little insulin may be the cause. A person can adjust this by changing what and when they eat and slightly increasing their insulin dosage.
If a person is within their target range at bedtime but wakes with high blood sugar, they may be using too little basal medication or using it too early. Changing the timing of the long-acting dose, switching to a twice-daily basal insulin, or using an ultra-long-acting basal insulin may be beneficial.
Data demonstrating that a person has high blood sugar between roughly 38 a.m. suggests the dawn phenomenon. In this case, a doctor may recommend that a person does not increase their long-acting insulin, as this could cause hypoglycemia during the night. It may be advisable to consider an insulin pump, as a person can program it to automatically deliver more insulin in the early morning hours.
Some research that the following lifestyle changes may help control morning glucose levels.
How Do You Manage Blood Sugar
Its not easy to manage your blood sugar, but its important to do so if you have diabetes. There are many things you can do to keep your blood sugar levels in the healthy range.
The first step is to understand what causes your blood sugar levels to go up and down. This will help you make choices that keep your blood sugar levels within your target range.
Determining The Right A1c Goal For You
Just because a normal blood sugar range of 70 to 130 mg/dL is considered the healthiest doesnt necessarily mean thats the appropriate goal range for you especially if you have type 1 diabetes, or take insulin as a person with type 2 diabetes.
The reason this may not be the right goal for you is that extremely tight blood sugar management in people taking insulin can potentially lead to frequent low blood sugars which can be dangerous.
Achieving extremely tight blood sugar management, like a range of 70 to 130 mg/dL, also often requires a strict nutrition plan, more frequent than usual blood sugar monitoring, precise medication management, and most importantly, years of experience studying your blood sugar levels.
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Why You Shouldnt Lower Your A1c Too Quickly
It can be a good idea to approach lowering your A1c with a bit of caution. Just as crash dieting isnt healthy, there can be some serious health risks associated with lowering your A1c too quickly. I turned to Dr. Peters for an explanation:
If you lower your A1c too quickly, many bad things can happen. First, weight gain and total body swelling. Next, it can cause bleeding in the retina which can lead to blindness, and third, it can cause painful neuropathy that never goes away. Its slightly different for newly diagnosed patients, but, in general, no one should try to go from an A1c of 10% to 6% quickly. Take slow steps. Wanting to get to a low number very fast only causes harm. Diabetes is a long-term disease, so slow steps to establish new habits that can last a lifetime is the way to go. Anything too sudden and the body reacts badly.
What Are The Symptoms Of High Blood Sugar
The symptoms of high blood sugar can vary depending on severity.
Early signs and symptoms of high blood sugar
When your blood sugar is around 200 mg/dL, but not yet dangerously high, you may experience the following symptoms:
- Increased thirst
- Shortness of breath
If you are experiencing any of the later-stage symptoms of high blood sugar, seek immediate medical attention.
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Easy Before Bed Routines For People With Diabetes
Managing diabetes whether you have type 1 or type 2 is more than a full-time job. Your condition doesnt clock out at 5 p.m. when youre ready to take a break. Juggling blood sugar checks, medication, exercise, and eating habits are all part of managing your blood sugar.
The mental load doesnt stop in the evening. There are things you can do before bed to help blood sugar levels stay stable overnight. There are also strategies that may improve your sleep.
Sleep is important for everyone, especially if you live with diabetes. Lack of sleep can increase insulin resistance and affect your mood and appetite.
For some people, living with diabetes can affect sleep. Blood sugar can drop or rise overnight, interrupting your sleep.
Before you set the alarm and settle in under the covers each night, here are a few bedtime to-dos. They can help you feel more in control of your diabetes overnight and sleep more soundly.
Diagnosing And Treating Hyperglycemia
Diagnosing hyperglycemia is done by assessing symptoms and performing a simple blood glucose test. Depending on the severity of the condition and which type of diabetes the patient is diagnosed with, insulin and a variety of medication may be prescribed to help the person keep their blood sugar under control. Insulin comes in short, long and fast-acting forms, and a person suffering from type 1 diabetes is likely to be prescribed some combination of these.
Individuals who are either diagnosed with type 2 diabetes or are considered at risk for the disease are recommended to make alterations to their diet, lifestyle habits and exercise routine in order to lower blood sugar and keep it under control. These changes generally help to improve blood glucose control, individuals with type 2 diabetes may require medication eventually. These can include glitazones, acarbose, glucophage or sulphonylureas.
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Normal Range Of Fasting Blood Sugar Found Among Men : 74
Ideal values of Fasting blood sugar depending on age :
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Long-term complications of diabetes develop gradually. The longer you have diabetes the higher the risk of complications. Eventually, diabetes complications may be disabling or even life-threatening. Possible complications include:
How Quickly Can You Lower Your A1c
Because A1c is simply a measure of your average blood sugar over 2-3 months, it can decrease by any amount over that time period. If you, from one day to the next, decreased your daily average blood sugar from 300 mg/dl to 120 mg/dl , your A1c would decrease from 12% to 6% in around two months.
However, it may not be a good idea to lower your A1c so quickly, as I will explain below.
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Translating Your A1c To A Blood Sugar Level
Using this easy calculator from the ADA, you can translate your most recent A1C result to an eAG or estimate average glucose level.
You can also use this translation when working to improve your A1c and achieve closer to normal blood sugar levels.
If you know an A1c of 6.5 is an average blood sugar level of 126 mg/dL or a range of 100 to 152 mg/dL, then you can look at your current blood sugar results on your CGM and meter and pinpoint which time of day youre frequently higher than this range.12% = 298 mg/dL or range of 240 347 11% = 269 mg/dL or range of 217 31410% = 240 mg/dL or range of 193 2829% = 212 mg/dL or range of 170 2498% = 183 mg/dL or range of 147 2177% = 154 mg/dL or range of 123 1856% = 126 mg/dL or range of 100 1525% = 97 mg/dL or range of 76 120
Normal blood sugar levels in a person without diabetes can result in an A1c as low as 4.6 or 4.7 percent and as high as 5.6 percent.
Just a decade or two ago, it was rare for a person with type 1 diabetes to achieve an A1c result below 6 percent. Thanks to new and improved insulin and better technology like continuous glucose monitors and smarter insulin pumps, more people with diabetes are able to safely achieve A1c levels in the higher 5 percent range.
Recommended Target Blood Glucose Level Ranges
The NICE recommended target blood glucose levels are stated below for adults with type 1 diabetes, type 2 diabetes and children with type 1 diabetes.
In addition, the International Diabetes Federations target ranges for people without diabetes is stated.
The table provides general guidance. An individual target set by your healthcare team is the one you should aim for.
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When Is Blood Sugar Considered To Be Too High Or Too Low
Slight fluctuations in blood sugar levels are completely normal, and also happen every day in people who dont have diabetes, in response to the food they eat. Between around 60 and 140 milligrams of sugar per deciliter of blood is considered to be healthy. This is equivalent to a blood sugar concentration of between 3.3 and 7.8 mmol/l. Millimoles per liter is the unit that blood sugar is measured in. It describes the amount of a certain substance per liter.
If someone has readings over 7.8 mmol/l , they are considered to have hyperglycemia. These high blood sugar levels mainly occur if there isnt enough insulin or the insulin doesnt work properly. Without the effect of insulin, the organs cant make good use of the sugar in the blood, so the sugar builds up. If type 1 diabetes is left untreated, blood sugar levels can increase to over 27.8 mmol/l . Such high levels tend to be uncommon in type 2 diabetes.
Blood sugar levels below 3.3 mmol/l are considered to be too low. But, as you can see in the illustration below, there are no clear-cut borders between normal blood sugar levels and too high or too low blood sugar levels.
Blood sugar: Normal range between hyperglycemia and hypoglycemia
High Blood Sugar Levels In The Morning
People usually have slightly higher blood sugar levels in the morning. However, in some people with diabetes, these levels can be significantly higher.
Diabetes is a condition that impairs the bodys ability to process blood glucose. Without careful management, blood sugar levels can become too high, which is known as hyperglycemia. Long periods of high blood sugar levels can result in health complications.
Even when a person carefully controls the condition, they may notice blood sugar spikes in the morning. There are three main causes of high blood sugar in the morning:
- the Somogyi effect
It is important to note that this article refers to effects experienced in the morning, but these effects may occur anytime a person sleeps for a long period. People who work at night and sleep during the day can also experience these effects.
In this article, we will explore these causes, including what they can mean for a persons health and when to see a doctor.
dawn phenomenon refers to periods of hyperglycemia that occur during the early morning hours. The shift in blood sugar levels happens as a result of hormonal changes in the body.
Hormones, such as cortisol, glucagon, epinephrine, and growth hormone are known as counter-regulatory hormones. They can cause blood sugar levels to rise. The activity of cortisol and growth hormone normally increases each day to stimulate the liver to produce glucose at dawn.
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Your Blood Sugar Isnt Just Because Of What You Eat
Mainstream media would have you believe that your blood sugar levels are impacted only by what you eat and how much you exercise, but people with type 1 and type 2 diabetes who test their blood sugars frequently could tell you otherwise.
Its especially important to keep this in mind when looking at your own blood sugars and your goals because there are certain variables and challenges that impact blood sugar levels that you cant always control.
- Menstrual cycles: raises blood sugar and insulin needs
- Adrenaline rushes from competitive sports, heated arguments, or rollercoaster rides: raises blood sugar and insulin needs
- The common cold and other illnesses: usually raise blood sugar and insulin needs
- Hormonal changes due to puberty and healthy growth in young adults: raises blood sugar and insulin needs
- An injury that raises overall inflammation levels: raises blood sugar and insulin needs
- Glucogenesis during anaerobic exercise: raises blood sugar
While you cant necessarily prevent these factors that affect your blood sugar from occurring, you can work with your diabetes healthcare team to adjust your insulin, other diabetes medications, nutrition and activity levels to help compensate for them when they do occur.
For example, when engaging in anaerobic exercise like weightlifting many people with type 1 diabetes find it necessary to take a small bolus of insulin prior to or during their workout because anaerobic exercise can actually raise blood sugar.
Why Is My Morning Blood Sugar So High
A complex array of factors affects blood sugar levels, including hormones, diet, and lifestyle.
Q: I have prediabetes and now eat minimal carbs and sugar. My doctor told me to monitor my sugar levels, morning and night. At night, two hours after eating, my sugar levels are between 112 and 130 mg/dL . But in the morning, my fasting sugar level is always higher than the night number. Why is that? What am I doing wrong?
There are a few reasons why your blood sugar may be elevated in the morning. First, its important to understand that certain hormonal changes that occur overnight may lead to high blood sugar levels in the morning.
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Warning Signs Your Blood Sugar Is Dangerously High
Blood sugar is a vital part of our overall well-being and when theres an imbalance your health is at risk for serious complications like heart disease, kidney disease and stroke. Simply put, its your bodys main source of energy. You cant survive without it,Dr. Bayo Curry-Winchell, Urgent Care Medical Director and Physician, Carbon Health and Saint Marys Hospital tells us. The symptoms of high blood sugar can range from subtle to signs you cant ignore and Dr. Curry-Winchell explains what to look out for and why. Read onand to ensure your health and the health of others, dont miss these Sure Signs Youve Already Had COVID.
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How Is It Determined If The Dawn Phenomenon Or Somogyi Effect Is Causing The High Blood Sugar Levels
Your doctor will likely ask you to check your blood sugar levels between 2 a.m. and 3 a.m. for several nights in a row. If your blood sugar is consistently low during this time, the Somogyi effect is suspected. If the blood sugar is normal during this time period, the dawn phenomenon is more likely to be the cause.
Some additional clues that the Somogyi effect may be the cause include nightmares, restless sleep and overnight sweating as these are all signs of low blood sugar levels.
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Postprandial Or Reactive Hyperglycemia
This type of hyperglycemia occurs after eating .
During this type of hyperglycemia, your liver doesn’t stop sugar production, as it normally would directly after a meal, and stores glucose as glycogen.
If your blood glucose level 1-2 hours after eating is above 180mg/dL, that signals postprandial or reactive hyperglycemia.
However, it’s not just people with diabetes who can develop hyperglycemia. Certain medications and illnesses can cause it, including beta blockers, steroids, and bulimia. This article will focus on hyperglycemia caused by diabetes.
What Causes Hypoglycemia In A Child
Hypoglycemia can be a condition by itself. Or it can be a complication of diabetes or other disorder. Its most often a problem in someone with diabetes. It occurs when theres too much insulin. This is also called an insulin reaction.
Causes in children with diabetes may include:
Too much insulin or oral diabetes medicine
The wrong kind of insulin
Incorrect blood-glucose readings
Tingling feelings around the mouth
Nightmares and confusion on awakening
The symptoms of hypoglycemia can be like other health conditions. Make sure your child sees his or her healthcare provider for a diagnosis.
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Non Fasting Blood Sugar Levels Blood Sugar 147 After Eating
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